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Angina |
Angina |
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"I'm on this
medicine, Andrew," he said. "It's for angina. My doctor sent
me to a heart specialist, and they both agreed I have to take it. The
problem is that it causes impotence."
I let that image
sink in for a minute, as he continued. "Is there any
one of your natural remedies that will substitute for the angina
medicine?" he asked. Historically, it
was an unusual event for my dad to ask my view about anything. One of
his mottoes was, "If I want your opinion, I'll give it to
you." So I was duly impressed with the gravity of the situation. "Vitamin E,
Pa, " I said. "High doses of vitamin
E have been used to treat angina since the early 1950's. Drs. Wilfrid and
Evan Shute, who were both brothers and cardiologists, gave patients somewhere
between 1,600 to 2,000 International Units (IU) of vitamin E daily and it
eliminated angina symptoms in hundreds and hundreds of documented
cases." I fully expected him to ridicule the idea, and I was
surprised and not a little gratified when he thoughtfully nodded his head. "OK," he
said, and we gratefully moved on to another topic. My dad started at
about 400 IU a day, gradually working up to 1,600 IU over a period of a few
weeks. I've always maintained that the body likes
"gradual." This goes for decreasing drugs as well as for
increasing vitamins. Pa's G.P. was an open-minded man, quite British and
quite willing to offer my father a dosage-reduction schedule for his
medication. And that is all it
took. Pa called a couple
of weeks later. "Is it all
right to take this much vitamin E?" he asked. "How much are
you up to, Pa?" "Uh, 1,200 a
day." "Is it the D-alpha and mixed natural tocopherols form
of E that I suggested?" "Let me get
the bottle," he said, and I heard the phone drop and bang on the table. A long-distance
minute later, he was back. “Yep,”
he said. “It says ‘D-alpha tocopherol plus mixed natural
tocopherols.’" "That's the
one. So how do you feel?" "Pretty
fair," he said. "I'm practically off the medication now." "Any
symptoms?" I asked. "No." "Why don't you
go to 1,600 with no drugs," I said.
"OK." The subject did not
come up again for months. What can I say? This is how our family did
things. "So Pa, how's that angina?" I asked one day. "What
angina?" he said. "Your angina,
Pa, your angina." "I don't have
angina." "Used, to "I never had
any angina," he said. "Two doctors
said you did, "Oh,
that. I haven't had any sign of that since I took the vitamin E." "OK. Keep
taking the E, "I do.
1,600 every day." And that was
that. He never had angina symptoms again. "Angina? What
angina?" That was nice. Usually the fur
really flies when you bring up the Shute brothers' vitamin E treatment for
cardiovascular disease. This has been a controversial area of medicine
for 60 years. Most textbooks state that "E" is of no value
here. Textbooks have said for years that E is a quack's cure in search
of a disease. There is considerable evidence that the texts are wrong,
and that the Shutes were right. Consider
intermittent claudication, which is calf muscle pain upon walking. Even banal
nutrition textbooks acknowledge scientific proof of this successful treatment
with vitamin E. "This therapy helps reduce the arterial
blockage," says Williams, Nutrition and Diet Therapy, Seventh
Edition (Mosby, 1993, p 186), a standard dietetics
work. Is there something
so special about the arteries between the knee and the ankle? What about
"reducing the blockage" in other arteries? This is the whole
idea of using Vitamin E for circulatory diseases. Medical doctors
Wilfrid and Evan Shute of 1) Vitamin E has an
oxygen-sparing effect on the heart, enabling
the heart can do more work on less oxygen. The benefit for recovering
heart attack patients is considerable. 1200 to 2000 IU daily relieves
angina very well. 2) Vitamin E
moderately prolongs prothrombin clotting time, and
has a limited Coumadin/warfarin effect. This
is the reason behind the Shutes' using vitamin E
for thrombophlebitis and related conditions.
Their dose? about 1000 to 2000 IU daily. 3) Vitamin E
dilates and promotes collateral circulation and benefits diabetes patients or
anyone threatened with gangrene. Dose: tailored to patient; about 800 IU
or more. 4) Vitamin E
strengthens and regulates heartbeat like digitalis (foxglove) and its derivatives
at a dose adjusted between 800 to 3000 IU daily. 5) Vitamin E
reduces scarring when frequently applied topically to burns or sites of
lacerations or surgical incisions along with a daily oral dose of 800 IU. 6) Vitamin E helps
gradually break down clots at a maintained dose of between 800 IU and
3,000 IU. 7) Vitamin E is
vastly safer than drugs, as doses of up to 56,000 IU per day fail to harm
adult humans. Gradual dosage increase is advised, and patients with
congestive heart failure, rheumatic hearts or high blood pressure need
careful medical supervision So why hasn't
vitamin E been more highly regarded in medicine? Ambiguous results from
a rather small number of highly publicized, poorly controlled studies, that's
why. The most common reason for irreproducibility of successful vitamin
E cures is either a failure to use enough or a failure to use the natural
(D-alpha) form, or both. Such studies must be weighed against the Shute's 30,000 cured patients and their four books: Complete
Updated Vitamin E Book (Keats), Health Preserver (Rodale,
1977), Vitamin E for Ailing and Healthy Hearts (Pyramid, 1975) and Your
Child and Vitamin E (Keats, 1979). And vitamin E is
safe, remarkably non-toxic. In fact, "toxicity symptoms have
not been reported even at intakes of 800 IU per kilogram of body
weight daily for 5 months" according to the Food and Nutrition
Board. his demonstrated safe level would work
out to be around 56,000 IU daily for an average adult, some 5000 times the
RDA! Here is an example. Overexposure
to oxygen has been a major cause of blindness in premature infants.
Oxygen-tent retina damage is now prevented by giving preemies vitamin E, a
natural antioxidant. Williams, Nutrition and Diet Therapy, 6th
ed, indicates the dosage as 100 mg E per kilogram body weight. That
dose (around 200 IU for a preemie) is equivalent to an adult dose of about
7,000 IU for an average-weight adult. "There have been no
detrimental side effects," said the New England Journal of Medicine,
Dec. 3, 1981. Nevertheless, the nutrition textbook advised that
"healthy persons stand the chance of developing signs of toxicity with
the megadoses that are recommended in these studies." That
statement is not true. In less than
healthy persons, there are some valid cautions in giving large doses of
vitamin E. Among hypertensive patients, sudden large vitamin E
increases cause temporary increases in blood
pressure. The solution is to increase the vitamin gradually, with proper
monitoring (which hypertensive patients should have anyway). To avoid
any possible risks of an asymmetric heart contraction, patients with
rheumatic hearts or congestive heart failure need small doses (around 75 IU)
and increases under medical supervision. It is best to inquire about all
of these conditions when taking or submitting a patient history. For
additional information, it is most worthwhile to contact the Shute Institute,
Why supplement with
vitamin E? Our need for vitamin E increases with increased age, exposure
to toxins (smoking, air pollution, chemical
oxidants), pregnancy and lactation. Even an increased consumption of
polyunsaturated fats requires more vitamin E to protect the unsaturated fatty
acids from free radical attack. For most healthy adults, an optimum daily
amount of vitamin E would probably be about 600 IU. It must certainly be
higher than the US RDA of only about 10 or 15 IU. It is true that
many foods contain vitamin E, such as milk products, eggs, meats, fish,
whole-grain cereals and whole-grain breads, wheat germ, and leafy
vegetables. However, the vitamin is present in these foods only in
very small quantities. Americans do not get enough vitamin E in their
diet, and it is impossible to get even 100 IU per day from even the finest of
diets. This is at least partly due to the widespread milling of flour
since the start of the twentieth century. Coincidentally, heart
disease has also been on the steep increase since 1900. Very likely
there is a connection here. The New England
Journal of Medicine published two papers in the May 20, 1993 issue (Vol. 328,
pp 1444-1456) which both supported vitamin E megadoses, reporting an
approximate 40% reduction in cardiovascular disease. Nearly 40,000 men
and 87,000 women took part in the study. The more vitamin E they took,
and the longer they took it, the less cardiovascular disease they
experienced. And the Shute
brothers, those quacks, pointed it out first... sixty years ago. They
said: "We didn't make vitamin E this versatile. God did. Ignore it
at your peril." And ignore it we
have. Even in the very issue carrying the two very favorable, major
vitamin E studies mentioned above, was an editorial article advising doctors
not to use it.
Andrew Saul is the author of the books FIRE
YOUR DOCTOR! How to be Independently Healthy (reader reviews at
http://www.doctoryourself.com/review.html
) and DOCTOR YOURSELF: Natural Healing that Works. (reviewed at http://www.doctoryourself.com/saulbooks.html
)
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